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Transitional palliative care interventions for older adults with advanced non-malignant diseases and frailty: a systematic review

Duygu Sezgin (School of Nursing and Midwifery, National University of Ireland Galway (NUIG), Galway, Ireland)
Anne Hendry (NHS Lanarkshire, Bothwell, UK and School of Health and Life Sciences, University of the West of Scotland, Hamilton, UK)
Aaron Liew (Portiuncula University Hospital, Saolta University Health Care Group and School of Medicine, National University of Ireland Galway (NUIG), Galway, Ireland)
Mark O'Donovan (University College Cork, Cork, Ireland)
Mohamed Salem (St Vincent De Paule LTC Facility, Malta)
Ana María Carriazo (Regional Ministry of Health and Families of Andalusia, Seville, Spain)
Luz López-Samaniego (Andalusian Public Foundation Progress and Health, Seville, Spain)
Rafael Rodríguez-Acuña (Andalusian Public Foundation Progress and Health, Seville, Spain)
Siobhan Kennelly (Royal College of Surgeons in Ireland Connolly Hospital, Dublin and Health Service Executive, Dublin, Ireland)
Maddalena Illario (Campania Region Health Innovation Unit, and Federico II Department of Public Health, Naples, Italy)
Cristina Arnal Carda (REFiT Barcelona Research group, Parc Sanitari Pere Virgili and Vall d'Hebron Institute of Research (VHIR), and Universitat Autònoma de Barcelona, Barcelona, Spain)
Marco Inzitari (REFiT Barcelona Research group, Parc Sanitari Pere Virgili and Vall d'Hebron Institute of Research (VHIR), and Universitat Autònoma de Barcelona, Barcelona, Spain)
Teija Hammar (Finnish Institute for Health and Welfare, Helsinki, Finland)
Rónán O'Caoimh (Mercy University Hospital, Cork, Ireland)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 17 June 2020

Issue publication date: 19 September 2020

278

Abstract

Purpose

To identify transitional palliative care (TPC) interventions for older adults with non-malignant chronic diseases and complex conditions.

Design/methodology/approach

A systematic review of the literature was conducted. CINAHL, Cochrane Library, Embase and Pubmed databases were searched for studies reporting TPC interventions for older adults, published between 2002 and 2019. The Crowe Critical Appraisal Tool was used for quality appraisal.

Findings

A total of six studies were included. Outcomes related to TPC interventions were grouped into three categories: healthcare system-related outcomes (rehospitalisation, length of stay [LOS] and emergency department [ED] visits), patient-related outcomes and family/carer important outcomes. Overall, TPC interventions were associated with lower readmission rates and LOS, improved quality of life and better decision-making concerning hospice care among families. Outcomes for ED visits were unclear.

Research limitations/implications

Positive outcomes related to healthcare services (including readmissions and LOS), patients (quality of life) and families (decision-making) were reported. However, the number of studies supporting the evidence were limited.

Originality/value

Studies examining the effectiveness of existing care models to support transitions for those in need of palliative care are limited. This systematic literature review identified and appraised interventions aimed at improving transitions to palliative care in older adults with advanced non-malignant diseases or frailty.

Keywords

Acknowledgements

This work is part of Joint Action ‘724099 / ADVANTAGE’ which has received funding from the European Union's Health Programme (2014-2020).

Citation

Sezgin, D., Hendry, A., Liew, A., O'Donovan, M., Salem, M., Carriazo, A.M., López-Samaniego, L., Rodríguez-Acuña, R., Kennelly, S., Illario, M., Arnal Carda, C., Inzitari, M., Hammar, T. and O'Caoimh, R. (2020), "Transitional palliative care interventions for older adults with advanced non-malignant diseases and frailty: a systematic review", Journal of Integrated Care, Vol. 28 No. 4, pp. 387-403. https://doi.org/10.1108/JICA-02-2020-0012

Publisher

:

Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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